1467758425 NPI number — DR ALAN TOLER & ASSOCIATES PLLC

Table of content: (NPI 1467758425)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467758425 NPI number — DR ALAN TOLER & ASSOCIATES PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR ALAN TOLER & ASSOCIATES PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467758425
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/08/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1407 WESTOVER HILLS BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHMOND
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23225-3109
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-231-9151
Provider Business Mailing Address Fax Number:
804-231-9175

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1407 WESTOVER HILLS BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23225-3109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-231-9151
Provider Business Practice Location Address Fax Number:
804-231-9175
Provider Enumeration Date:
02/08/2011

Additional Information

Authorized Official

Authorized Official Last Name:
CALL
Authorized Official First Name:
TERRIE
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OFFICE MGR
Authorized Official Telephone Number:
804-231-9151

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  0618000188 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 410000392 . This is a "MEDICARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 009242589 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 410019925 . This is a "MEDICARE RR" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 5072484 . This is a "CIGNA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 410000711 . This is a "MEDICARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 068258 . This is a "ANTHEM" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 2200139 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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